Report

The CARE Award Payment Models

The creation of new payment models – those that incentivize the specific providers involved in the child’s care and address the coordination of both medical and social services – is a key component of the CARE Award study. Milliman Inc. provides technical actuarial support to each hospital to aid in designing a payment model. The actuary reports include expected reimbursement and expenses, trending for future savings targets, sensitivity of financial result-to-cost estimates, and sensitivity toward random fluctuations in utilization and large claim amounts.